Allan L D, Crawford D C, Anderson R H, Tynan M J
Br Heart J. 1984 Nov;52(5):542-8. doi: 10.1136/hrt.52.5.542.
In a series of 1600 pregnancies 34 cases of congenital heart disease were correctly identified by fetal echocardiography. In each case echocardiographic diagnosis was confirmed by anatomical study. Termination of pregnancy was done electively in 14 cases: in six because of the identification of a cardiac anomaly and in the remaining eight because of multiple congenital anomalies. The remaining 20 fetuses died subsequently owing either to the complexity of congenital heart disease or to associated extracardiac abnormalities, which were present in more than half the fetuses with congenital heart disease. There were eight errors in interpretation of the fetal echocardiogram. The outcome of the pregnancy was not influenced by the error in any case. Fetal echocardiography can predict correctly structural malformations of the heart. The technique is sufficiently reliable to give an accurate prognosis in early pregnancy and provide the basis for alterations in obstetric management.
在1600例妊娠中，胎儿超声心动图正确识别出34例先天性心脏病。每例的超声心动图诊断均经解剖学研究证实。14例孕妇选择了终止妊娠：6例是因为发现心脏异常，其余8例是因为合并多种先天性异常。其余20例胎儿随后死亡，原因要么是先天性心脏病复杂，要么是合并心脏外异常，超过半数先天性心脏病胎儿存在这种情况。胎儿超声心动图解读存在8处错误。在任何情况下，妊娠结局均未受这些错误影响。胎儿超声心动图能够正确预测心脏结构畸形。该技术足够可靠，可在孕早期给出准确预后，并为产科管理的调整提供依据。
